Nose Twitching: Causes; Diagnosis & Treatment

Nose twitching

 Nose twitching can happen due to nerve damage, which can cause a repetitive uncontrollable motion in the muscles. This is due to the small contractions that the nerve has to undergo. Nose twitching can also happen due to tic disorder like Tourette’s syndrome.

 Usually, twitching happens due to stress and tiredness. Another reason for twitching could be the deficiency of potassium, excess consumption of caffeine, use of drugs or stimulant medicine, and sleep deprivation can be the reasons for nose twitching. Another reason for nose twitching can be excitement or extreme emotions. 

People often relate twitching with superstitions

In astrology, it is believed that nose twitching may affect a person’s health, financial status, marriage, job, education or well being. Astrologers relate nose twitching to the planet Jupiter. According to them, if your left nose is twitching, which is also known as muscle spasms, may indicate a loss in business or job. left nose twitching is generally related with a negative result. 

On the other hand, in case of the right nose twitches, indicates a positive result according to astrologers, for eg- a job promotion, business success, increased chances of getting married or anything that is in your favour. It means a positive news.

Causes of nose twitching

There could be several reasons for nose twitching-

  • Vitamin and mineral deficiency- vitamins and minerals ensure blood-circulation and therefore its deficiency can result in muscle twitching. One should take proper nutrients and it plays a key role in the functions of the body. Other than blood circulation, vitamins and minerals also aid to tone muscles, functioning of the nerve and helps to remain healthy. 

One must make sure to take all the important nutrients like- vitamin B, potassium, vitamin E, calcium, iron, magnesium, zinc, are included in their diet

  • Drugs drug consumption can also be the reason for nose twitching as excessive and prolonged consumption of drugs results in nerve damage.
  • Medication- Some stimulant medications can also result in nose twitching, like- diuretics, statin, blood pressure medicines, asthma medicine, medicines relating to hormones. Twitching can be the side effects of the medications and a doctor must be consulted.
  • Nerve damage- Any damage in the nervous system may also result in nose twitching. Nerve damage can arise due to Parkinson’s disease. In the case of nerve damage. In such a situation, a doctor’s appointment must be taken.
  • Face tic disorder- Face tics also called facial tics are uncontrollable muscle twitching which usually does not require any treatment but in case it does not get better on its own, it may require medical attention and can be cured through therapy, medication, botox injections, stress reduction programs or brain stimulation. 

Other than nose twitching, this condition can also result in continuous eye blinking, eyebrow twitching, tongue clicking, etc.

  • Tourette syndromeis a disorder which makes one experience repeated muscle twitching like eyes blinking, nose scrunching, sniffing, using repeated words or phrases, etc. These conditions can only be treated with medication. It can be irritating at times,  affecting one’s well being. Usually, children are detected with this disorder. This disorder can be of two types- physical and vocal. 

Physical tics include those experienced physically like nose twitching, flagging arms, shrugging shoulders etc. vocal tics include hiccupping, clearing throat, yelling, etc. some people may also use abusive words or phrases. This condition requires medication.

Nose twitching treatment and facial tics diagnosis 

Diagnosis

A doctor may be able to detect you with facial tic disorder using an electroencephalogram (EEG) helps to determine electrical activity in the brain, and a seizure disorder that is resulting in these symptoms. 

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Nose Twitching

In certain cases, a psychologist may be recommended by the doctor, as this situation may affect a person mentally. Another test called electromyography (EMG) which helps to determine nerve or muscle issues. This is the method used to determine the reasons for muscle twitching.

Treatment 

Usually, a facial tic does not require treatment. In case a child develops face tics, he must be made to understand what it means and must not be aware of the same. As this is an involuntary movement, one does not have full control over it. 

In certain cases, medical attention may be required as it may seem to impede the job, work or education. Though, through the treatment, the disorder may not be treated completely but is cured to a great extent.

The treatment includes-

  • CBIT-comprehensive behavioural intervention for tics, commonly known as behavioural therapy
  • antipsychotic medications like haloperidol (Haldol), risperidone (Risperdal), aripiprazole (Abilify)
  • Stress reduction programs
  • Dopamine blocker medications
  • alpha-agonists like clonidine and guanfacine
  • Psychotherapy
  • medications to treat underlying conditions, such as ADHD and OCD
  • botulinum toxin (Botox) injections to temporarily paralyze facial muscles
  • anticonvulsant topiramate (Topamax)

Research has shown that Tourette syndrome can be treated with deep brain stimulation, which is a surgical procedure that helps implant electrodes in the brain, these electrodes deliver electrical impulses throughout the brain which help restore the brain circuitry to the normal pattern. 

Though this is said to be the available treatment for Tourette syndrome, more research is required in this area.

Certain conditions are similar to face tic disorder

  • Blepharospasms- this disorder affects the eyelids and results in continuous eye twitching.
  • Hemifacial spasm- as the name suggests, the twitching can be experienced only on half or one side of the face. It can be discomforting. 
  • Another disorder is facial dystonia which results in involuntary movement of the facial muscles.

Factors responsible for face tic disorder

Certain factors can increase the severity of face tic – stress, excitement, heat, fatigue, drugs, medication, attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD).

Though this disorder does not usually require medical attention, at times, it can prove to be fatal or life-threatening. One such condition is where facial tics happen along with epilepsy, this requires immediate medical attention.

Other facial medical spams include

  • Paralysis or inability to lift a part of the body
  • The irregular scale of the pupil (too large or too small) or abnormal light reactivity;
  • Multiple seizures in a row without recovery from episodes
  • Respiratory or breathing issues, such as shortness of breath, trouble breathing or failure to breathe, difficulty breathing, wheezing or choking;
  • A change in the level of awareness or alertness, such as passing on or non-responsiveness.

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